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08-1434 (AR)4 Y P.O. BOX 1504 �VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/10/08 Application Number: 08-00001434 Owner: Property Address`. 80297 RIVIERA REINSBERG WILLIAM R APN: 762-130-006- - - 80297 RIVIERASJ l' Application description: ADDITION - RESIDENTIAL LA QUINTA, CA 92253 F , SJ Property Zoning: LOW DENSITY RESIDENTIAL ( rt 1 �+ y 9 p i Application valuation: 2781 `� 1 SLP 1 1'100® Contractor:! Curl 0r !-A lsi:i r i /Applicant: Architect or Engineer: EDWARDS CONSTRUCTION INC; ,e 1r LAQUINTA, CA9225 455 DESERT CLUB DRIVE 4-��e Y (760)777-8202 + Lic. No.: 684857 --------------------------------------=---------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Kense Clals: B License No.: 684857 GJJ i� Date: I-( ( — V OWr1ER-BUILDER DECCARATIO I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( _') I am exempt under Sec. - , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERDIIT WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier GRANITE STATE Policy Number WC 555-61-55 I certify that, in the performance of the work for which this permit is issued, Lshall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t at, if I s ome subject to the workers' compensation provisions of Section 3700 of a Labor e, I shall fort comply with those provisions. ate& pplicant: �--�� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made -to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives Of thi Wu qty to enter up6n the above-mentioned property for inspection purposes. Application Number . . . . . 08-00001434 ------ Structure Information TRELLIS'PATIO & MASONRY BBQ ----- Other struct info CODE EDITION 2007 # BEDROOMS .00 FLOOD ZONE NO PATIO SQ FTG ---------------------------------------------------------------------------- 167.00 Permit . . . BUILDING PERMIT Additional desc 167 SF TRELLIS PATIO & BBQ Permit Fee . . . . 54.00 Plan Check Fee 5.85 Issue Date . . . . Valuation . . 2781 Expiration Date 3/09/09 Qty Unit Charge Per Extension BASE FEE 45.00 1.00 9.0000 THOU BLDG -2,001-25,000 9.00 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee 22.50 Plan Check Fee 5.63• Issue Date Valuation 0 Expiration Date 3•/09/09 Qty Unit Charge Per Extension - BASE FEE 15.00 10.00 7500 PER ELEC DEVICE/FIXTURE 1ST 20 7.50 Permit GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 3/09/09 Qty Unit Charge PerExtension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments ADDITION OF 167 SF TRELLIS PATIO AND - MASONRY BBQ TO REAR OF EXISTING RESIDENCE. 2007 CODES. ---------------------------------------------------- ----------------------- Other Fees . . . . . . . . . ENERGY REVIEW FEE .59 HOURLY PLAN CHECK 75.00 STRONG MOTION (SMI) - RES 1.79 Fee summary Charged Paid Credited Due LQPERDIIT LQPER,kIIT Application Number . . . . . 08-00001434 --------------------------- Permit Fee Total 91.50 -------------------- .00 ---------- .00 91.50 Plan Check Total 11.48 .00 .00 11.48 Other Fee Total 77.38 .00 .00 77.38 Grand Total 180.36 .00 .00 180.36 LQPER,kIIT Bin # Qty of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La uinta, CA 92253 - (760) 777-7012 Q Building Permit Application and Tracking Sheet Permit #� /�, .o L �� V V Project Address: O - a `� -UAQ�� Owner's Name: ud A. P. Number: b IL Address: - l �.r Legal Description: l�-�' l� 4 'L -� 2 i 2City, ST, Zip: pL�_ (,t -A Contractor: 6O vJ E& V-5 Address: 5 1 - 5 CLU Telephone: ' Project Description: 6 - City, ST, Zip: CA- ( z;,- 3 Telephone City Lic. #: State Lie. # : (.( Arch., Engr., Designer:-N& :Ili 1a Address: City., ST, Zip: Telephone:?12.p 7' 7 <. < <::: ,,:•v<a;:z,;>sv:r;;: •<.:;:»: :;:�::;>;>:;;:;.,;�;;:<.v;��:::,>.;<;;; CnstutionTyPe: Occupancy: State Lic. #• Project type (circle one): 6e Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: [ V Telephone # of Contact Person: — Z Estimated Value of Project: 1Ao noo APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted S I l Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person ,in 4'/4Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready focorrections ssue Electrical Subcontactor List Called Contact Person `D Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0 s.� M TANDY'S INSPECTION SERVICES, INC., PO BOX 13766 - PALM DESERT, CA 92255-3766 OFFICE/ FAX - 951 .769.9717 I • 'PAGER 760.776.3339 SPECIAL INSPECTION DAILY 'I WEEKLY REPORT : TYPE OF INSPECTION PERFORMED PERMIT NUMBER - SLUMP I ADDED TIME IN MIXER TYPE OF -STRUCTURE CRESIDENTIA12` I COMMERCIALX0 DATE , "It �' v PHYSICAL.ADDRESS (INCLUDE STREET NAME AND CITY) LOCATION: JOB NAME (INCLUDE NAME OF COUNTRY CLUB I BUSINESS.PARK /CORPORATE CENTER /LOT NUMBER... ECT.( p ARCHITE �/` .,., �i� ENGINE'E'R t� o � L GENERAL CONTRACTOR lab B I., j) wn 4-0 5 r o 4 57 SUBCONTRACTOR t 1 DESCRIPTION OF WORK INSPECTED /A r f•�' 1 r �' A x- , .`,r'ar / . rC i /1'.-• C .�, i r [ I % AO A I -L,a .--H In) 0' Q 109,1A e, /, el -.i I q,'%I ��`r- n�► �T�� amt /� � ��ar � � M►�� /✓oG�r��/� '" � �'' 1� a�•� !,� �A� �' �,/� � t,� i •� � ,�� '' � v►� h,�Iral'.w�o-,�I�~-� .� � /..�,�R��.� '1►�vr�r- � � �..�' b �- A 1 IJAJ Oi:� va P r P Ar, 11m V I h P i, <AAN h.%awm e /,pu ti TWY1,0 2 -16. r1)6vll Nrrrf �* • -1-�;, /-,�v •//s I,ea r T1, Ir 4* 74 t /fir 642) ----_ rUp4-rz, fn/- A.e c s��iS�,/�� .� i .'__ll ...-e L• _ r - � � t c.. tl i Yr'.ry "4'Y M'b: l�.M.-+�.-� -J, s` ,I CORRECTIONS AND/OR -NOTES +: WELDING INFORMATION WELDERS NAME CERTIFYING AGENCY'S NAME AND ID NUMBER ? PROCESS AND ELECTRODE i L A KAMI c lwsrr%owA A-rlr%wl TIME SUPPLIER TICKETNUMBER., MIX NUMBER I AIR TEMP,, SAMPLE - SLUMP I ADDED TIME IN MIXER LOCATION: LOCATION:' LOCATION: TO THE BEST OF MY KNOWLEDGE, WORK INSPECTED -WAS IN ACCORDANCE WITH THE BUILDING DEPARTMENT APPROVED PLANS, SPECIFICATION AND APPLICABLE WORKMANSHIP PROVISIONS OF THE IBC EXCEPT NOTED ABOVE INSPECTORS SIGNATURE INSPECTORS CERTIFICATION AGENCY AND NUMBER 0